Provider Demographics
NPI:1467448084
Name:ANESTHESIA SOLUTIONS PC
Entity Type:Organization
Organization Name:ANESTHESIA SOLUTIONS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GROUP MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWIESOW
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:605-721-0337
Mailing Address - Street 1:508 6TH ST
Mailing Address - Street 2:STE 201
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-5011
Mailing Address - Country:US
Mailing Address - Phone:605-721-0337
Mailing Address - Fax:605-721-0043
Practice Address - Street 1:216 ANAMARIA DR
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-7366
Practice Address - Country:US
Practice Address - Phone:605-721-0337
Practice Address - Fax:605-721-0043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD6647Medicare ID - Type Unspecified